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1508375601
ALICIA R HENLEY
SHREVEPORT, LA
NPI
1508375601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
ALICIA R HENLEY
2920 KNIGHT ST STE 110
SHREVEPORT, LA 71105-2412
Phone number: 318-670-7047
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Mailing Address
ALICIA R HENLEY
2920 KNIGHT ST SUITE 110
SHREVEPORT, LA 71105
Phone number:
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